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1、沙美特罗替卡松粉吸入剂治疗慢性支气管炎的效果观察［摘要］目的评价沙美特罗替卡松粉吸入剂治疗慢性支气管炎的临床效果。方法选取2011年3月〜2013年7月本院收治的慢性支气管炎患者97例，随机分为两组，其中观察组49例在吸氧、止咳平喘、保持呼吸道通畅、抗感染等常规治疗的基础上加用沙美特罗替卡松粉吸入剂，对照组48例仅采用慢性支气管炎常规治疗，2周后观察并比较两组患者的临床疗效和血气分析结果。结果观察组优32例(65.3%),良15例(30.6%),差2例(4.1%),总优良数为47例(95.9%)；对照组优13例(27.1%),良例27(56.3%),差8例(16.7%),总优
2、良数为40例(83.3%),观察组的临床疗效与对照组比较差异有统计学意义(1X0.05)；观察组经过治疗P&C02为(45.3±5.2)mmHg,Pa02(88.1+7.5)irrniHg,对照组PaC02为(55・0±6・7)mmHg,卩a02为(71・9±6・8)mmHg,两组患者血气分析结果比较差异有统计学意义(P〈0・05)°结论沙美特罗替卡松粉吸入剂治疗慢性支气管炎的临床效果好，能有效提高患者的血氧饱和度，降低血中二氧化碳含量，值得临床推广。［关键词］沙美特罗替卡松粉吸入剂；慢性支气管炎；疗效［中图分类号］R562.2：文献标识码］A［文章编号］1674-4721(
3、2014)06(b)-0058-03EffectobservationofsalmeterolinchoateandfluticasonepropionatepowderforinhalationinthetreatmentofchronicbronchitisZHANGXing-minQTAOXiao-guangGeneralPracticeDepartment,CommunityHealthServiceCentreinKaixuanStreetofJiangganDistrict,IlanzhouCity,Hangzhou310019,China[Abstract]Ob
4、jectiveToevaluatetheclinicaleffectofsalineterolinchoateandfluticasonepropionatepowderforinhalationinthetreatmentofchronicbronchitis・MethodsNinety-sevenpatientswithchronicbronchitisadmittedintoourhospitalfromMarch2011toJuly2013wererandomlydividedintoobservationgroupandcontrolgroup.Intheobser
5、vationgroup(n=49),onthebasisofconventionaltherapyincludingoxygeninhalation,coughandasthmarelieving,respiratorytractkeepingunobstructed,andanti-inflaniniation,salmeterolinchoateandfluticasonepropionatepowderforinhalationwasadded・Inthecontrolgroup(n=48),onlyconventionaltherapywasadopted.After
6、2-weekobservation,theclinicaleffectandoutcomesofbloodgasanalysiswerecomparedinbothgroups・ResultsTheclinicaleffectintheobservationgroupevaluatedasexcellent,goodandpoorwere32cases(65.3%),15cases(30.6%),and2cases(4.1%).Thenumberoftotalexcellentandgoodwere47casesaccountingfor95.9%.Inthecontrolg
7、roup,thenumberofexcellent,goodandpoorwere13cases(27.1%),27cases(56.3%),and8cases(16.7%)respectively.Therewere40casesintotaiwithexcellentandgoodeffectaccountingfor83.3%.Aftercomparisoninthetwogroups,theclinicaleffectdisplayedastatisticaldifference(P<0.05)
